Some drugs and certain quantities of some drugs require approval before they are eligible for coverage under your pharmacy benefits. These medications are on the prior-authorization list because they have a limited place in therapy or a narrow therapeutic margin, require special monitoring or could be misused or abused. For prior authorization approval, a doctor needs to provide clinical information to HometownRx to be reviewed by our Clinical Pharmacist for medical necessity and appropriateness of therapy.
Who can request a Prior Authorization?
We encourage providers to fax in our prior authorization request form to 866-521-9916.